Medico legal reports are evaluations written by medical professionals to support your case in personal injury or clinical negligence cases. Solicitors or insurance companies often request the reports and must follow strict guidelines by the Ministry of Justice.
Being familiar with the process and your professional obligations when preparing a medico legal report is imperative. Here are a few of the main areas to consider.

Medical Expertise
Medico legal reports are a vital part of the legal process. They provide expert medical opinion on a specific case and help resolve disputes with accuracy and credibility. They also bridge the gap between medicine and law by ensuring the legal process is well-informed and fair. Adhering to the guidelines governing medico legal reporting in England is also essential.
Medico legal experts need to be able to understand medical jargon as well as the language used in a courtroom. They must be able to conduct thorough examinations and analyse all available evidence to create an unbiased and accurate opinion. They must also be able to prioritise the patient’s well-being and confidentiality. They must also be able to communicate their findings clearly, avoiding complex medical terminology.
Report Writing
A medico legal report is a piece of written documentation prepared to support the evidence of a claim of injury or ill treatment. It is a standard part of general practice and can be requested by the patient, their solicitor or an insurance company.
A medical professional will usually prepare the document on instructions from the requesting party. The report will include the requester’s details and the patient’s medical history, examination findings, opinions and conclusions.
The document should be organised, including a title page and table of contents, to make it easier for the reader to find the required information. Using bullet points and avoiding excessive medical jargon is advisable to ensure the report is easily understood.
The doctor should be mindful that they may be cross-examined about the content of their report, so they should only provide true and accurate information in the document.
Patient Confidentiality

Patient confidentiality is an essential aspect of physician-patient relationships, allowing physicians to build trust with their patients. It is also a legal requirement for medical professionals and medical institutions.
The GMC publication Confidentiality offers detailed advice on this topic. Still, in general, it states that a practice should not disclose personal information to the police without the patient’s explicit consent. Exceptions might be made if the police have obtained a court order, if a solicitor requests access to a client’s clinical records (with a signed statement that they are acting on the client’s behalf), or if the health risks of not disclosing are considered to outweigh the patient’s right to privacy.
The same rules apply when a patient has died, and the practice is requested to divulge post-mortem information. Ultimately, the practice should consult with the deceased patient’s next of kin or executors. The workshop allows the whole practice team to review and discuss real-life cases relating to confidentiality and gives practical guidance as to how best to handle these situations.
Report Delivery
Medico legal reports provide valuable medical insight that is useful to a variety of legal professionals and courts. Doctors have a moral and professional obligation to prepare a medico legal report when requested by solicitors. However, it is recommended that doctors always seek consent from the patient before submitting their opinion and to confirm that they understand why a medico legal report is being sought.
A medico legal assessment allows a claimant to have their injuries properly assessed and helps calculate potential compensation amounts. All aspects of the client’s injury must be considered when calculating compensation, and this is highlighted in the expert medical opinion. Medico-legal experts should also ensure they adhere to the Istanbul Protocol, which is a set of guidelines for documenting torture and ill-treatment. This is to be as transparent and fair to the injured party.
Conclusion:
Medico legal reports are essential tools in bridging the gap between medical findings and legal proceedings. They ensure that injury and negligence claims are supported by clear, accurate, and unbiased medical opinions. Whether you’re a solicitor, insurer, or medical expert, understanding how to prepare, write, and handle these reports—while respecting confidentiality—is vital for a fair legal process.